Chatani Ryuki, Tasaka Hiroshi, Ono Sachiyo, Maruo Takeshi, Kadota Kazushige
Department of Cardiovascular Medicine Kurashiki Central Hospital Kurashiki Japan.
J Arrhythm. 2023 Aug 27;39(5):816-818. doi: 10.1002/joa3.12917. eCollection 2023 Oct.
When we implant leadless pacemaker in patients with contrast agent allergy or poor renal function, the use of sufficient contrast agent is hesitant. Aided by imaging assessment (e.g., intracardiac echocardiography), the procedure may be feasible with a small amount of contrast medium or no contrast medium. In this case, leadless pacemaker implantation was performed at the same time as the transcatheter mitral valve repair, and leadless pacemaker implantation was successful with the use of a very small amount of contrast medium under transesophageal echocardiography guidance.
当我们为造影剂过敏或肾功能不佳的患者植入无导线起搏器时，对于是否使用足量造影剂存在犹豫。在成像评估（如心腔内超声心动图）的辅助下，使用少量造影剂或不使用造影剂进行该手术可能是可行的。在这种情况下，无导线起搏器植入与经导管二尖瓣修复术同时进行，并且在经食管超声心动图引导下使用极少量造影剂成功完成了无导线起搏器植入。
